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<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>Sign up</title>
</head>
<body>

<form action="signup" method="post">

<h1>Enter your details</h1>

Username: <input type="text" name="username" /><br />
Password: <input type="password" name="password" /><br />
Mobile Number: <input type="text" name="mobile" /><br />
Initials <input type="text" name="initials" /><br />
NIC: <input type="text" name="nic" /><br />
First Name: <input type="text" name="firstName" /><br />
Last Name: <input type="text" name="lastName" /><br />
Title: <input type="text" name="title" /><br />
Address: <input type="text" name="address" /><br />
Eamil Address: <input type="text" name="email" /><br />
Occupation: <input type="text" name="occupation" /><br />

<input type=submit value="Submit"></form>

</body>
</html>